The holder whose full name is Van Horn, Connie L.,come from New Haven IN,hold the Dental Radiographer license(NO.XT008399) which status is Expired.
| Name | Van Horn, Connie L. |
|---|---|
| License Number | XT008399 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | New Haven |
| State | IN |